Hello

[SweetP1973]

Hi I am new here. I got a phonecall from my GP surgery yesterday about my recent bloods. She said my HbA1c had gone up from 44 last year to 51. She didn't want to say I was Type 2 diabetic on my notes, so told me to change my lifestyle and diet and she will retest in 3 months. Is this normal? I have checked my blood sugar this morning 2 hours after breakfast and it was 11.7. She basically gave me not advice apart from this website. I don't know where to start. HELP!

 

[harbottle]

What did you have for breakfast?

 

[SweetP1973]

weetabix with skimmed milk and a cup of tea.

 

[s'nic]

Hi welcome to the forum.
You may want to get in the habit of checking nutritional info on the back of food packaging (the per 100g figures).

This is the sugar and carbohydrate figures for weetabix
Typical values per 100g
Carbohydrates 69g
of which sugars 4.2g

When you eat carbohydrates they get converted to sugars, so they can affect your blood sugars.
Foods which contain carbs include cereals, starchy vegetable like potatoes etc, and anything made with flour (bread, cake, biscuits etc)

 

[Leadinglights]

That does seem quite high for 2 hours after breakfast but whether it was actually OK would depend on what you were just before breakfast. Pairs of reading of before you eat and after 2 hours are much more useful for indicating if meals are OK.
You are aiming at no more than a 3mmol/l increase or no more than 8-8.5mmol/l post meal. The aim is to be 4-7mmol/l before meals or first thing in the morning /fasting.
Have a look at this link for good information, some do's and don'ts as well as some meal plans to suit various tastes for a low carbohydrate approach which many find successful.
https://lowcarbfreshwell.com

Low carb is suggested as being no more than 130g per day carbs as a good starting point but many determine what suits them by testing with a home monitor which it sounds as if you have.

 

[everydayupsanddowns]

She didn't want to say I was Type 2 diabetic on my notes, so told me to change my lifestyle and diet and she will retest in 3 months. Is this normal?

Some GPs prefer to get a confirmation result (because lab errors can happen).

Sometimes these happen fairly close together, but it seems your GP is interested to see if your numbers could turn back away from the diabetes dividing line? The research suggests that once you have fully crossed into diabetes territory, you can only manage the condition, or get it into remission, but it’s not something that can be ‘cured’ as such.

 

[Lucyr]

Hi I am new here. I got a phonecall from my GP surgery yesterday about my recent bloods. She said my HbA1c had gone up from 44 last year to 51. She didn't want to say I was Type 2 diabetic on my notes, so told me to change my lifestyle and diet and she will retest in 3 months. Is this normal? I have checked my blood sugar this morning 2 hours after breakfast and it was 11.7. She basically gave me not advice apart from this website. I don't know where to start. HELP!

If you don’t have any symptoms it’s normal to recheck the a1c and diagnose if two a1c are above 48

 

[harbottle]

weetabix with skimmed milk and a cup of tea.

So you're getting high blood sugar readings because you're eating too many carbs.
I have Greek yoghurt (Fage or Costco, only ones I like!), berries, peanut butter (Pure stuff, a tablespoon) and a bit of Lemon juice and zest.
Post breakfast I'm usually in the high fives or low sixes.

 

[Lucyr]

So you're getting high blood sugar readings because you're eating too many carbs.
I have Greek yoghurt (Fage or Costco, only ones I like!), berries, peanut butter (Pure stuff, a tablespoon) and a bit of Lemon juice and zest.
Post breakfast I'm usually in the high fives or low sixes.

You’d need to know what the blood sugar was before breakfast before deciding if the breakfast is too high carb or not. If it was say 10 before breakfast then a rise to 11.7 is good and the weetabix is fine, it’s just the starting point that would need work.

 

[SweetP1973]

Hi! So I have done my BM pre breakfast this morning and it is 7.1. Again had weetabix (not done any shopping yet) will check it in 2 hrs.

 

[harbottle]

You’d need to know what the blood sugar was before breakfast before deciding if the breakfast is too high carb or not. If it was say 10 before breakfast then a rise to 11.7 is good and the weetabix is fine, it’s just the starting point that would need work.

Being at 10 before breakfast is not good to start with, and going over eleven means the body starts expelling glucose via other means (i.e. kidneys, which is damaging.). Any fall may well be due to this, and this does not mean the meal was tolerated or is any way good.

 

[Lucyr]

Being at 10 before breakfast is not good to start with, and going over eleven means the body starts expelling glucose via other means (i.e. kidneys, which is damaging.). Any fall may well be due to this, and this does not mean the meal was tolerated or is any way good.

For a new diabetic being at 10 before breakfast would just be a starting point. You expect to be high before meals when first diagnosed and it’s the size of the rise that you should be suggesting people look at, not the actual numbers.

 

[trophywench]

With a normal renal threshold I have always understood it's when the BG gets to 13.0 it spills over into urine. I'm not aware that has changed. Plus that doesn't occur immediately the BG gets to 13 - only if it stays there for a while ie too long. Don't think they've ever been able to say how long since we're all different.